Injured Worker

ICA Community

ICA Community

LOGIN

To access claim information and easily check the status of a claim, an account in the ICA Community is needed.

New Users:
Request Access to Portal and Claim/ALJ file part 1
Request Access to Portal and Claim/ALJ file part 2

Existing Users:
Request Access to Claim for Existing User
Request Access to Claim/ALJ File for Existing User
Document Viewing, Save to Zip, and PDF Merge
Carrier/Self-Insured TPA - Online Form Submission

Advance Features:
Uploading Documents
Hearing Calendar
Online Form Submission

New Claims/ALJ System FAQs

Community Guide - Public Webforms (PDF)
Community Guide - Applicant Webforms (PDF)

az dosh16

Workers' Compensation Information

Workers' Compensation Handbook
Workers' Compensation Statutes -
(Title 23, Chapter 6)
Workers' Compensation Administrative Rules
(Title 20, Chapter 5)

OnlineForms

Forms

Worker's Report of Injury Form - 407
Petition to Reopen - 528
Request for Hearing Form - 446
Request to Change Doctor - 121
Additional Forms

az phx map

Agency Resources

Ombudsman
Hearing Division
MRO
Vocational Rehab

helpful

Helpful Links

Authorized Self Insurers
Workers' Compensation Coverage Verification
Present Value Tables

az dosh3

Definitions

Suspension of a Claim
Exposure to Bodily Fluids
Independent Medical Evaluations
Uninsured Employers
Loss of Earning Capacity
Loss of Job
Gradual Injury
Sole Proprietor/Independent Contractor

AZlandscapePlant